CHRISTINE FUHRMAN MLADENKA


Address: 1901 Alvin Ricken Dr, Pocatello, ID 83201-2727
Phone: 2082339080

CHRISTINE FUHRMAN MLADENKA (NPI# 1740346527) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1740346527
Entity Type Individual
Full Name CHRISTINE FUHRMAN MLADENKA
Other Name TINA MLADENKA
Credential DNP, WHNP
Practice Address 1901 Alvin Ricken Dr
Pocatello
ID 83201-2727
Mailing Address Po Box 4021
Pocatello
ID 83205-4021
Practice Telephone 2082339080
Mailing Telephone 2082404785
Enumeration Date 2006-12-28
Last Update Date 2012-04-11
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LW0102X Nurse Practitioner
Specialization: Women's Health
NP-338 ID Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 1901 ALVIN RICKEN DR
City POCATELLO
State ID
Zip Code 83201-2727

Providers in the same location

NPI Name Taxonomy Address Enumeration
1649277393 State of Idaho Home Health 1901 Alvin Ricken Dr, Pocatello, ID 83201-2727 2005-07-07
1457822652 Shaunna Rae Kramer Nurse Practitioner 1901 Alvin Ricken Dr, Pocatello, ID 83201-2727 2018-12-16
1023250966 Southeastern District Health Department Public Health or Welfare 1901 Alvin Ricken Dr, Pocatello, ID 83201-2727 2009-03-24
1750526216 Southeastern District Health Department Public Health or Welfare 1901 Alvin Ricken Dr, Pocatello, ID 83201-2727 2008-12-11
1396919916 Southeastern District Health Dept. Public Health or Welfare 1901 Alvin Ricken Dr, Pocatello, ID 83201-2727 2008-04-15
1235260829 State of Idaho Public Health or Welfare 1901 Alvin Ricken Dr, Pocatello, ID 83201-2727 2007-03-08
1811028319 State of Idaho Public Health or Welfare 1901 Alvin Ricken Dr, Pocatello, ID 83201-2727 2007-03-08
1821129420 State of Idaho Public Health or Welfare 1901 Alvin Ricken Dr, Pocatello, ID 83201-2727 2007-03-08
1063576445 State of Idaho Public Health or Welfare 1901 Alvin Ricken Dr, Pocatello, ID 83201-2727 2006-12-20
1154481224 Lindsey Scott Physician Assistant 1901 Alvin Ricken Dr, Pocatello, ID 83201-2727 2006-12-11
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1235765330 Timothy Palmer Social Worker 400 S 11th Ave, Ste 204, Pocatello, ID 83201 2020-03-20
1225687759 Hanna Percy Nurse Practitioner 1151 Hospital Way Ste 201, Pocatello, ID 83201 2019-09-07
1659935195 Carol Jane Dillon Counselor 707 North 7th Avenue, Suite D, Pocatello, ID 83201 2019-04-30
1154801595 Mv Pocatello Ent, LLC Otolaryngology 333 N 18th Ave Ste B3, Pocatello, ID 83201 2018-08-15
1306344346 Ruth Anne Patton Social Worker 850 E Young St, Pocatello, ID 83201 2018-01-24
1598289274 Lucas Alexander Bryan Specialist/Technologist 1535 E Terry St, Pocatello, ID 83201 2017-08-03
1205365632 Geno Alan Giovanini Denturist 115 S. 15th Ave. Ste. D, Pocatello, ID 83201 2017-06-08
1518415942 Kelli Fries-geslin Nurse Practitioner 500 South 11 Ave Suite 400, Pocatello, ID 83201 2016-09-14
1346797842 Shailyn Jenkins Specialist/Technologist 665 Warren Ave., Pocatello, ID 83201 2016-09-01
1992258149 Christopher Jared White Social Worker 300 N 7th Ave, Pocatello, ID 83201 2016-07-24
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Taxonomy Information

Taxonomy Code 363LW0102X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Women's Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1306105598 Dna With Tina LLC Nurse Practitioner 1951 Bench Rd, Pocatello, ID 83201-2073 2012-05-09
1194736090 Barbara Roberts Nurse Practitioner 500 S 11th Ave, Suite 4g, Pocatello, ID 83201-4835 2006-08-10

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1356678106 Clea K. Mefford Nurse Practitioner 1408 Pomerelle Ave # H, Burley, ID 83318-2064 2009-11-13
1477714285 Kara Kelly Hill Nurse Practitioner 111 Main St Ste 100, Boise, ID 83702-7307 2008-06-24
1265617849 Selkirk Family Medicine & Womens Health Pllc Nurse Practitioner 1215 Michigan St Ste C, Sandpoint, ID 83864-5014 2008-01-02
1538238506 Pamela Jan Tilaro Nurse Practitioner 8500 N. Atlas Rd, Hayden, ID 83835-8332 2006-11-06
1922197946 Cynthia W Dalsing Nurse Practitioner 1215 Michigan St, Suite C, Sandpoint, ID 83864-5014 2006-10-11
1144325572 Annie C Fife Nurse Practitioner 500 W. Fort St, Boise, ID 83702 2006-09-13
1679688030 Healing Arts Women's Clinic, Pa Nurse Practitioner 222 W Iowa Ave Ste 225, Nampa, ID 83686-6815 2006-08-19
1508886425 Mary Gerard Battaglia Nurse Practitioner 1112 Ironwood Dr, Coeur D Alene, ID 83814 2006-07-21
1013936541 Susan P Stutzman Nurse Practitioner 215 10th St, Lewiston, ID 83501-1912 2006-07-18
1871560995 Mary R Fiedler Nurse Practitioner 1020 Michigan St, Sandpoint, ID 83864-1788 2006-03-07
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Competitor

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City POCATELLO
Zip Code 83201

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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